Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03249 | Date 31/01/2019 |
| Token No | SM/18-19/7660 31/01/2019 | Serial | 034 Last Visit: 04/08/2020 |
| Patient Name | Mr. SUDIPTA DUTTA | Contact No | 9883657563 |
| Address | 23 BARUI PARA LANE,CHATRA, SERAMPORE | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||